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Contact Information

MODIFY, P.C.
2244 95TH ST STE 301
NAPERVILLE, IL60564-8118
 Phone: 630-753-9800
 Fax: 630-753-9798
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for MODIFY, P.C.

NPI Number 1457479503
LBN Legal business name MODIFY, P.C.
Authorized official LISA BUSCH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/27/2007
Last updated 05/07/2026 - About a month ago
Identifiers
IL License # 071005399
IL Other 09923724 BLUE CROSS BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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